No office rate
Choose 35361 for aortic thromboendarterectomy. Choose 35331 when the operation treats the aortoiliac segment.
On this page
CMS RVU26D · Effective 2026-10-01
35361 Arterial endarterectomy Medicare reimbursement rates in Indiana
Open aortic thromboendarterectomy removes obstructive plaque from the aorta to restore blood flow, with patch grafting included when performed. Compare 35361 office and facility rates across CMS payment localities in Indiana.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 35361 in Indiana?
Indiana has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1243.91
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular surgery
About 35361: Aortic thromboendarterectomy
Open aortic thromboendarterectomy removes obstructive plaque from the aorta to restore blood flow, with patch grafting included when performed.
A vascular surgeon uses this code for open removal of obstructive atherosclerotic material from the aorta to improve its channel for blood flow. A patch graft may be used to repair or enlarge the vessel after plaque removal and is included in the service. The procedure is generally performed in an operating room, commonly in a hospital facility, for significant aortic occlusive disease requiring surgical treatment.
Select this code when the treated artery is the aorta; an aortoiliac procedure or endarterectomy of another named artery belongs to a different code. The operative report should identify the aorta as the treatment site and document plaque removal and any patch repair. This is major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35361
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU29.48 · 71%
- Practice expense (office) RVU4.42 · 11%
- Malpractice RVU7.54 · 18%
31
Medicare services in 2024 · #5642 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
35361 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
35321 is for iliac artery treatment; 35361 is for treatment of the aorta.
No office rate
35301 applies to the carotid, vertebral, or subclavian territory, while 35361 applies to the aorta.
Compare 35361 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Indiana →
Office / nonfacility
Unavailable
Facility
$1243.91
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 35361 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
4,324
- Code
- 35361
- Physician work
- 29.48
- Practice expense
- 4.42
- Malpractice
- 7.54
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.48 | × 1.000 | 29.4800 |
| Practice expense | 4.42 | × 0.927 | 4.0973 |
| Malpractice | 7.54 | × 0.486 | 3.6644 |
| Total RVUs | 37.2418 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1243.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 29.48 | 1 |
| Practice expense | 4.42 | 0.927 |
| Malpractice | 7.54 | 0.486 |
(29.48 × 1 + 4.42 × 0.927 + 7.54 × 0.486) × $33.4009 = $1243.91
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
35361 billing questions
How is this code distinguished from 35331?
Use 35361 for thromboendarterectomy of the aorta. Code 35331 describes treatment involving the aortoiliac segment.
Is patch grafting separately reported?
No. Patch grafting, when performed as part of the aortic thromboendarterectomy, is included in this service.
What documentation supports selecting this code?
The operative report should identify the aorta as the treated vessel and describe removal of obstructive plaque, including any patch repair.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the major-surgery global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,32135341,,Rechanneling of artery,A,,25.55,5.23,NA,5.23,,6.46,37.24,37.24,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32235351,,Rechanneling of artery,A,,23.99,4.87,NA,4.87,,6.16,35.02,35.02,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32335355,,Rechanneling of artery,A,,19.36,3.63,NA,3.63,,4.93,27.92,27.92,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32435361,,Rechanneling of artery,A,,29.48,4.42,NA,4.42,,7.54,41.44,41.44,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32535363,,Rechanneling of artery,A,,31.54,4.58,NA,4.58,,8.07,44.19,44.19,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32635371,,Rechanneling of artery,A,,14.93,3.42,NA,3.42,,3.80,22.15,22.15,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,32735372,,Rechanneling of artery,A,,18.12,3.77,NA,3.77,,4.62,26.51,26.51,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915